2026-05-13T11:12:56-05:00 2025-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-07-01 231401561 Fulton County Medical Center FULT 7174853155 214 Peach Orchard Rd Mc Connellsburg PA 17233 Mackenzie Wentz CFO 7174853155 2026-05-12 1 1 Lisa Chaffee CPA P00193453 7012551091 2026-05-11 2024 2025-03-06 01:10:19Z Rodney Walters 214 Peach Orchard Rd Mc Connellsburg PA 17233 59030879 0 X www.FCMCPA.org X 1947 PA To continuously improve the health of our community by delivering quality healthcare. 12 11 452 58 0 0 1141674 6526727 53503366 51144278 797796 1359874 0 0 55442836 59030879 284432 385479 0 0 34231450 33919048 0 0 29950 23529428 26669682 58045310 60974209 -2602474 -1943330 65331563 66612683 55851505 56579092 9480058 10033591 X To continously improve the health of our community by delivering quality healthcare in a kind and compassionate manner. 0 0 49981381 385479 51144278 Fulton County Medical Center (FCMC) provides inpatient, outpatient, emergency care, skilled nursing, and home health services to all who need them, regardless of ability to pay. Emergency services are provided 24/7, 365 days a year without inquiry into financial means or insurance status.Continued on Schedule O:Activities during Fiscal Year 2025:July 9, 2024: FCMC earned program accreditation from the American Academy of Sleep Medicine, demonstrating its commitment to the provision of high-quality care for people who have sleep problems. AASM accreditation is the gold standard for sleep care, giving patients confidence and peace of mind when they seek help for a sleep disorderJuly 22, 2024: FCMC expanded ultrasound imaging hours. FCMC Imaging extended ultrasound imaging hours to better serve the community. The new hours will be from 7:00 a.m. to 5:30 p.m., with additional appointments available throughout the day. August 1, 2024: The Fulton County Medical Center, Tri-State Community Health Center, and the Fulton County Family Partnership have announced the launch of their collaborative community health needs assessment survey. This survey, which is conducted once every three years, is aimed at helping health and human service agencies make informed decisions about programs and services that will benefit the community. August 19, 2024 : FCMC Recognized for Supporting Organ Donation - The Fulton County Medical Center was honored with a Platinum designation through The Hospital and Healthsystem Association of Pennsylvania's (HAP) 2024 Donate Life Pennsylvania Hospital Challenge. FCMC was also awarded with Gold Recognition through the Health Resources and Services Administration (HRSA) DoNation Campaign which unites America's workforce for organ, eye, and tissue donation. September 4, 2024: The Wilbur C. and Betty Lea Henderson Clinical Education Suite & Wellness Center at FCMC in McConnellsburg celebrated the enrollment of its 1000th member just one year after opening. Carol Tebo was the lucky 1000th member September 4, 2024: Cody Grace join the Emergency Department as a full-time physician. September 18, 2024: FCMC imaging sponsored mammograms and massages, which invites women to take a moment for themselves. Get annual screening mammogram and get treat treated afterward with a massage, light refreshments, and a pink cross-body gift bag. Leave with peace of mind knowing you've taken a proactive role in your healthcare. November 18, 2024: The FCMC Board of Directors held its annual public meeting at 7:00 p.m., in the iCare Lounge at the FCMC campus. December 30, 2024: Fulton County Medical Center has been awarded a three-year term of accreditation in magnetic resonance imaging (MRI) as the result of a recent review by the American College of Radiology (ACR). MRI is a noninvasive medical test that utilizes magnetic fields to produce anatomical images of internal body parts to help physicians diagnose and treat medical conditions. January 24, 2025: FCMC earned its 2024 Performance leadership award from the Chartis center for rural health for excellence in Quality of Care. Compiled by The Chartis Center for Rural Health, the Performance Leadership Awards recognize top quartile performance (i.e., 75th percentile or above) among rural hospitals in Quality, Outcomes and/or Patient Perspective. April 8, 2025 : FCMC Imaging department expanded its services with the addition of the Horizon bone densitometry system from Hologic. The imaging technology of the Horizon DXA system provides superb image quality with advanced diagnostic tools to support early detection and treatment of osteoporosis. June 5, 2025 : FCMC hosted 12th annual summer kick-off your drug-free summer health fair geared toward kids. Hundreds of kids and over 25 vendors set up on campus to provide kid friendly activities and education. June 20, 2025 : FCMC employee led RAK (Random Acts of Kindness) committee hits $10,000 mark raising funds for those in need in the community. June 23, 2025: The FCMC Community Health & Wellness Center announced a monthly support group for individuals affected by Lyme disease. 49981381 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 137 0 1 452 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 PA X Mackenzie Wentz 7174853155 214 Peach Orchard Road McConnellsburg PA 17233 Dr Douglas Stern Director/Chief of Medical Staff 50.00 0.00 X 872360 0 23156 Rodney Walters Chair 2.00 0.00 X X 0 0 0 Scott Alexander Chair (Until 12/2024) 2.00 0.00 X X 0 0 0 Mark Recard Vice Chair 2.00 0.00 X X 0 0 0 Preston Spahr Treasurer 2.00 0.00 X X 0 0 0 David McDonald Treasurer (Until 12/2024) 2.00 0.00 X X 0 0 0 Tina Gress Secretary 2.00 0.00 X X 0 0 0 Dr Frank D'Amelio Director 0.50 0.25 X 0 0 0 Kevin Beem Director 0.50 0.00 X 0 0 0 Sandy Crouse Director 0.50 0.00 X 0 0 0 Penny Shives Director 0.50 0.00 X 0 0 0 Jim Miller Director 0.50 0.00 X 0 0 0 Paul Schemel Director 0.50 0.00 X 0 0 0 Genevieve Harper Director 0.50 0.00 X 0 0 0 Debbie Toothman Director (Until 02/2025) 0.50 0.00 X 0 0 0 Donald Sheehan Director (Until 09/2024) 0.50 0.00 X 0 0 0 Michael Makosky CEO 48.00 2.00 X 287827 0 55067 Kimberly Slee COO 48.00 2.00 X 225244 0 20035 Mackenzie Wentz CFO 48.00 2.00 X 110194 0 29050 Jeffery Mandak Cardiologist 40.00 0.00 X 647249 0 19536 Tung Nguyen ER Physician 40.00 0.00 X 832177 0 12189 Nicole Debolt Physician/Surgeon 40.00 0.00 X 381879 0 13810 Cody Grace ER Physician 40.00 0.00 X 306702 0 8996 Nuncio Massara ER Physician 40.00 0.00 X 446937 0 24323 4110569 0 206162 49 0 1 0 Qualivis PO Box 674913 Dallas TX 752674913 Contracted traveling company 969403 CorroHealth Lockbox PO Box 654380 Dallas TX 752654380 Contracted billing department 789603 UPMC PO Box 223270 Pittsburgh PA 152512270 Contracted Doctors 595300 Precision Anesthesia LLC 14717 Heavenly Acres Ridge Hancock MD 21750 Contracted Anesthesia services 364080 Associated Radiologists 10715 Downsville Pike Suite 103 Hagerstown MD 21740 Radiology test readings 338618 16 732366 5758266 36095 6526727 Patient and Resident Service Reve 621110 47886947 47886947 Pharmacy Revenue 621110 2273860 2273860 Other Revenue 621110 983471 983471 51144278 1350774 1350774 9100 0 9100 9100 9100 59030879 51144278 0 1359874 X 385479 385479 1496547 791175 677324 28048 24315409 19738612 4576797 584358 483260 101098 5758272 4622003 1136269 1764462 1406879 355681 1902 271374 271374 11633978 8780846 2853132 115923 115923 41530 41530 896714 803456 93258 61100 55663 5437 44233 33505 10728 2073077 2073077 3055110 3055110 574305 574305 Medical Supplies 6952018 6549677 402341 Licensure 268460 263474 4986 Dues & Subscription 247591 25986 221605 Repair and Maintenance 193433 40815 152618 240836 182136 58700 60974209 49981381 10962878 29950 3771949 2133792 11189220 9379194 435932 368194 997216 473614 76473162 53378360 25556880 23094802 16743364 16721012 6637002 14442075 65331563 66612683 8043220 9056225 42304068 41326038 1649274 1608199 74645 62896 3780298 4525734 55851505 56579092 X 8304508 8803651 1175550 1229940 9480058 10033591 65331563 66612683 X -1943330 240494 2256369 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 556178 556178 26274784 14183600 12091184 41983632 33113169 8870463 7658568 6081591 1576977 23094802 Estimated Third Party Payor Settlement 2257748 Due From Affiliates 100000 Interest in Perpetual Trust 1229940 Investment in Charts 1203529 Pension Asset 3940126 Reserves Payable 178211 ERC Receivable 5532521 14442075 Estimated Third-Party Payor Settlement 4037734 ERC Fees Payable 488000 4525734 X 61142263 240494 1870890 2111384 59030879 0 59030879 60588730 0 60588730 385479 385479 60974209 Part X, Line 2: The Medical Center believes they have appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the financial statements. The entities would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Grant Expense Reclassed from Revenue to Expense -385,479. Pension Liability Adjustment 1,982,536. Valuation Gain 54,390. Net Periodic Pension Benefit Cost 219,443. Part XII, Line 4b - Other Adjustments: Grant Expense Reclassed from Revenue to Expense 385,479. 1 1 X 1 X 1 X 1 1 1 0 1 1 16000 16000 0.00030 6963720 6527337 436383 0.00720 6979720 6527337 452383 0.00750 145686 53288 92398 0.00150 9688919 4942558 4746361 0.07780 9834605 4995846 4838759 0.07930 16814325 11523183 5291142 0.08680 1 2693831 53877 7794415 7789285 5130 1 1 1 1 Fulton County Medical Center 214 Peach Orchard Road McConnellsburg PA 17233 www.fcmcpa.org 061901 X X X X X Fulton County Medical Center 1 0 0 1 X X X X X X X X X 24 1 0 1 1 X www.fcmcpa.org. X 1 24 1 www.fcmcpa.org/community resources 0 1 X 200.000000000000 200.000000000000 X X X X X X 1 1 X X X X 1 X https://www.fcmcpa.org/getpage.php?name=Financial_Assistance X www.fcmcpa.org/financial-assistance X www.fcmcpa.org/financial-assistance X X X X X X 1 X 0 X 1 X 0 0 Fulton County Medical Center Part V, Section B, Line 5: The following steps were conducted as part of the CHNA:* Community benefit initiatives, which were implemented over the course of the last three years, were evaluated.* The "community" served by the Medical Center was defined by utilizing inpatient and outpatient data regarding patient origin and is inclusive of medically underserved, low-income, minority populations and people with limited English proficiency. This process is further described in Community Served by the Medical Center.* Population demographics and socioeconomic characteristics of the community were gathered and assessed utilizing various third parties.* The health status of the community was assessed by reviewing community health status indicators from multiple sources, including those with specialized knowledge of public health and members of the underserved, low-income and minority population or organizations serving their interests.* Community input was also obtained through key stakeholder interviews of community leaders. Identified health needs were then prioritized considering the community's perception of the significance of each identified need as well as the ability for the Medical Center to impact overall health based on alignment with its mission and the services it provides. The Medical Center's leadership participated in identifying and prioritizingsignificant health needs.* An inventory of healthcare facilities and other community resources potentially available to address the significant health needs identified through the CHNA was prepared. Fulton County Medical Center Part V, Section B, Line 6b: The Fulton County Medical Center (FCMC) community health needs assessment (CHNA) was developed with collaboration from Fulton County Family Partnership (FCFP) Fulton County Medical Center Part V, Section B, Line 7d: FCMC publicly reported the CHNA at the Fulton County Partnership meeting that meets monthly. It is comprised of members of the health and human services communities of Franklin, Fulton & Bedford counties. The CHNA was printed out and circulated through the partner meeting and is accessible on our website at www.fcmcpa.org. Fulton County Medical Center Part V, Section B, Line 11: The Most recent CHNA was completed in June of 2025, Implementation completion in November 2025 and tracking and reporting in January 2026Below is a summary of how the Medical Center has prioritized the health needs identified in this CHNA. The correlated community health needs are based on the information gathered throughout this CHNA and the prioritization process is described later in this report. Opportunities for health improvement exist in each area. The Medical Center will work to identify areas where it can most effectively focus its resources to have significant impact and develop an Implementation Strategy for 2026-2028 for each of priority areas. Access to Medical Specialists: Cardiology Access to Mental Health Services - Adults and Children (Limited Number of Providers, Hours, and Locations) Access to Affordable Healthy Foods Access to Medical Specialists: Women's Health Care Access to Medical Specialists: Nephrology Treatment and Management of Chronic Diseases & Conditions: Heart Disease Treatment and Management of Chronic Diseases & Conditions: Hypertension & High BP Treatment and Management of Chronic Diseases & Conditions: Diabetes Access to Medical Specialists: Urology Access to Care: Uninsured / Under-Insured Access to Medical Specialists: Oncology Access to Medical Specialists: Gastroenterology Use of Primary Care and Preventative Care Treatments Access to Medical Specialists: Physical Therapy Treatment and Management of Chronic Diseases & Conditions: Cancer Access to Medical Specialists: Endocrinology Healthy Behaviors and Lifestyle Choices Shortage of Healthcare Workers: Medical Transport / EMTs Treatment and Management of Chronic Diseases & Conditions: Lung Disease Access to Safe and Affordable Housing Shortage of Healthcare Workers: Nurses / Radiologists Access to Medical Specialists: Hematology Access to Medical Specialists: Pulmonology Access to Medical Specialists: Pain Management Treatment and Management of Chronic Diseases & Conditions: Lyme Disease Access to Medical Specialists: Occupational Therapy Access to Medical Specialists: Dermatology Access to Medical Specialists: Medication-Assisted Treatment Access to Medical Specialists: Optometry and Ophthalmology Access to Dental Services Technology: Use of Technology by Seniors for Scheduling Services and Accessing Records Access to Medical Specialists: Alternative Care (e.g. Chiropractor, Holistic Treatment, Acupuncture)During the Implementation Strategy process FCMC determined it will not address the following: Access to Affordable Healthy Foods - The Fulton County Family Partnership is better equipped to address this need. Access to Care: Uninsured / Under-Insured This need was a priority in the previous CHNA implementation plan and FCMC is continuing to work from last CHNA through Pennie program. Access to Safe and Affordable Housing - The Fulton County Family Partnership is better equipped to address this need. Access to Dental Services - This is not in our scope of practice, other community organizations are better equipped to address. Access to Medical Specialists: Alternative Care (e.g. Chiropractor, Holistic Treatment, Acupuncture)- Other community organizations are better equipped to addressThe New implementation plan for the 2025 CHNA will begin January 1, 2026. FCMC and the Fulton Family Partnership have developed an Implementation plan to address and report out the progress of the implementation plan quarterly. There are 6 goals between the two agencies, FCMC is responsible for the following: Goal 1: Improve access to comprehensive specialty care for the communityGoal 2: Increase education on healthy behaviors for vulnerable populationsGoal 3: Recruit healthcare professionals to include Nurses, Specialty Care Clinicians, EMTs/Medical Transport PersonnelEach goal has several objectives and action steps to achieve this implementation plan. Fulton County Medical Center Part V, Section B, Line 16j: The CHNA and implementation strategy is reviewed monthly at the Fulton County Family Partnership meetings. It is also reviewed bi-monthly at the FCMC Board Finance Committee meetings through the FCMC Community Benefit Director, as well as, posted on their website and their members. 1 1 - Fulton Co Medical Center Bursing Home 214 Peach Orchard Rd Mcconnellsburg PA 17233 Hospital based LT care facility Part I, Line 3c: Patients with no health insurance, private or employer-sponsored insurance, or via governmental programs, are automatically eligible for a financial assistance discount in the following amounts:Inpatient services - 30%Outpatient services - 40%Home health services - 20%Swing bed services - 30%Additional financial assistance may be made available to the patient based on a sliding fee scale, in accordance with financial need, as determined by referencing federal poverty levels (FPL) in effect at the time of the determination. In general, people whose household income is below 200 percent of the federal poverty level are eligible for financial assistance. Families or individuals with higher incomes may qualify on a case-by-case basis. Part I, Line 6a: Fulton County Medical Center's (FCMC) 990 filing is available to the public upon request. A summary of FCMC's community benefit is described in FCMC's annual report. The annual report is available to the public during the annual meeting, at the hospital, as well as on the hospital website. Part I, Line 7: Charity care was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed medicaid on line 7b was calculated using the cost-to-charge ratio derived from worksheet 2. Community health improvement services, line 7e are reported from the community benefit's annual board report. Line 7g was determined using the medicare cost report. Part III, Line 2: Prior to any account being classified as an implicit price concession, all payments are applied including contractual allowances and discounts, and every effort is made with the patient in an attempt to collect the outstanding balance. Accounts placed in collection for a year with no payment being received within 120 days are written off to implicit price concessions . If a payment is received on an amount previously written off to implicit price concessions, the amount would reduce implicit price concession expense. Part III, Line 3: FCMC does not refuse service to patients that generate bad debt. The estimated amount of organization's bad debt expense attributable to patients eligible under the organization's charity care policy is calculated based on an estimate of charity care accounts compared to total bad debt accounts. Part III, Line 4: The allowance for doubtful accounts is based on historical losses and an analysis of currently outstanding amounts for its major payer sources. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients and residents who have third-party coverage, the medical center analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectable deductibles and copayments on accounts for which the Third-party payer has not yet paid). For receivables associated with Self-pay patients and residents (which includes both patients and residents without insurance and patients with deductible and payment balances due for which third-party coverage exists for part of the bill), the medical center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients and residents are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Part III, Line 8: Medicare services are provided to the elderly which are considered to be a charitable class. As such, we believe the shortfall should be considered as a community benefit.Hospital services rendered on a fee schedule are not included in the Medicare calculations per the 990 instructions. Had this been reported the Hospital would have had a greater loss from Medicare services of $148,986.Medicare fee schedule revenue $503,482Medicare estimated costs of care relating to payments $652,468Net (shortage) $(148,986) Part III, Line 9b: Financial assistance is structured across four tiers based on federal poverty guidelines. The percentage associated with the qualifying tier is applied as charity care, with any remaining balance designated as the patient's financial responsibility. If the account is not paid in full by the issuance of the fourth statement, it is managed in accordance with the collections policy and may be referred to collections. Part VI, Line 2: Patients receive a survey in the mail regarding their appointment. Based on the results of the survey, the committee meets to discuss the results. We utilize patient feedback to drive continuous quality improvement and enhance the care experience for each and every patient. Part VI, Line 3: The FCMC posts information about the financial assistance program and discounts at the admissions areas, emergency room waiting areas, and financial advocate's office, as well as on their website at www.fcmpa.org . FCMC financial assistance program is called FCMC. Information on financial assistance is routinely on social media and is included in the inpatient and outpatient surgery patient packets. The financial advocate discusses with the patient the availability of financial assistance as well as various government benefits such as Medicaid, and assists the patient with qualification for such programs, where applicable. In addition, patient invoices for FCMC include a number to call for help in applying for financial assistance. The financial assistance application is on the back of the patient invoice as well. When telephone collection calls are made to patients with outstanding balances, they are reminded of our financial assistance program. Beginning July 2022, Healthcare Receivable Solutions, Inc. (HRSI) is available on campus to help Medicaid eligible patients fill out their applications which is a free service FCMC is offering to the community to help complete the Medicaid application. Part VI, Line 4: According to Data USA, in 2021, Fulton County, PA had a population of 14,529 people with a median age of 45.7 and a median household income of $58,343. Between 2020 and 2021 the population of Fulton County, PA grew from 14,492 to 14,529, a 0.255% increase and its median household income grew from $55,424 to $58,343, a 5.27% increase. The 5 largest ethnic groups in Fulton County, PA are White (Non-Hispanic) (95%), Two+ (Non-Hispanic) (1.38%), Black or African American (Non-Hispanic) (1.27%), Other (Non-Hispanic) (0.626%), and White (Hispanic) (0.564%). None of the households in Fulton County, PA reported speaking a non-English language at home as their primary shared language. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household. 99.7% of the residents in Fulton County, PA are U.S. citizens. In 2021, the median property value in Fulton County, PA was $170,800, and the homeownership rate was 77.6%. Most people in Fulton County, PA drove alone to work, and the average commute time was 32.4 minutes. The average car ownership in Fulton County, PA was 2 cars per household. According to the US Census data the population estimate for Fulton County in 2023 will be 14,533. The FCMC is a critical access hospital with over 50% of its revenues received from the Medicare and Medicaid programs. Part VI, Line 5: FCMC's board is comprised of citizens from the communities and service areas that benefit from FCMC's services. FCMC is the only hospital, level IV trauma Center and skilled nursing home in this rural service area. In addition, FCMC offers home health services and a specialty services where physician specialists from other geographical areas see patients. This allows residents of the surrounding areas to receive medical care from medical professionals close to home. Patients who come to the emergency room are not denied treatment based on the ability to pay. FCMC offers financial assistance discounts and charity care for those patients who have limited or no means to pay their medical bill. To meet the needs of our community, the hospital extends privileges to licensed medical staff. During the COVID-19 pandemic, the Center had to cancel some on-campus events such as on-campus health fairs and community outreach programs. However, this year, FCMC has started bringing back in-person events while also maintaining outdoor and off-campus events. FCMC began the fiscal year by participating in the Fulton County Fair, where attendees were educated about the Center's services and providers, and different departments provided screenings and information throughout the week. On Senior Citizen Day at the fair, FCMC and TSHC provided blood pressure screenings, service information, and refreshments under the pavilion.FCMC also provides free screenings at the township officials' annual meeting each October, including free cholesterol, glucose, and blood pressure screenings along with service information. CEO Mike Makosky speaks to the officials regarding services offered and operational highlights. In June 2024, the annual kick-off of the drug-free summer campaign was held June 6, 2024. Over 300 attended and there were nearly 30 vendors set up offering services for children, including demonstrations, education, healthy eating tips, and physical activities. The sheriff's office also provided a drug collection booth to turn in outdated and unwanted narcotics. As a critical access hospital and rural healthcare provider, FCMC provides an opportunity to assist in the education of future healthcare workers. Lake Erie College of Osteopathic Medicine (LECOM) medical students rotate to FCMC as part of their education as well as vocational-technical students. In limited capacity due to Covid precautions, high school students have the opportunity to volunteer within the facility or job shadow a professional at the hospital.In January 2023, FCMC launched its upgraded Community Health and Wellness Center and clinical education at its new on-campus location. The Wellness Center increased the services it provides in 2024 and grew to nearly 1,000 members and averaging 1980 visits per month. 1 Fulton County Medical Center Foundation 214 Peach Orch rd Mcconnellsburg PA 17233 510674514 501(c)(3) 385479 0 Financial Support to Affiliate 1 0 Part I, Line 2: The organization's only donation was to the Fulton County Medical Center Foundation, a related organization. Through this relationship, the organization is able to obtain informaton on how the funds are spent and is able to make sure the funds are properly spent. X X X 0 0 0 0 0 0 0 0 0 Dr Douglas Stern Director/Chief of Medical Staff 872360 0 0 0 0 0 14669 0 8487 0 895516 0 0 0 Tung Nguyen ER Physician 832177 0 0 0 0 0 0 0 12189 0 844366 0 0 0 Jeffery Mandak Cardiologist 647249 0 0 0 0 0 0 0 19536 0 666785 0 0 0 Nuncio Massara ER Physician 446937 0 0 0 0 0 14278 0 10045 0 471260 0 0 0 Nicole Debolt Physician/Surgeon 381879 0 0 0 0 0 1486 0 12324 0 395689 0 0 0 Michael Makosky CEO 287827 0 0 0 0 0 33214 0 21853 0 342894 0 0 0 Cody Grace ER Physician 306702 0 0 0 0 0 0 0 8996 0 315698 0 0 0 Kimberly Slee COO 225244 0 0 0 0 0 11548 0 8487 0 245279 0 0 0 A Fulton County Industrial Development Authority 232299855 36024LAK5 2016-05-18 26589802 Refund Series 2006 & 2009 Bonds 0 0 0 B Fulton County Industrial Development Authority 232299855 36024LAP4 2016-09-29 23224300 Finance Construction Cam Building 0 0 0 A 7539802 26589802 64977 481461 26043363 1 0 1 1 B 23224300 1970479 464486 20809195 2018 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 A 1 B 1 Form 990, Part VI, Section B, line 11b Fulton County Medical Center has a CPA firm prepare its form 990. The return is completed in draft form and reviewed by the CFO. Form 990, Part VI, Section B, line 12c A conflict-of-interest form is completed annually by all officers, directors, and key employees. any possible conflict of interest on the part of a director must be disclosed to the board. The forms are reviewed by the President/CEO. When any interest becomes a matter of board action, the director is not to vote or use personal influence on the matter and is not counted in the quorum for a meeting at which board action is to be taken on the interest. The director may, however, briefly state a position on the matter and answer pertinent questions of board members. the minutes of all actions taken on such matters clearly reflect that these requirements have been met. it is the obligation of each board member to act in the best interest of the medical center. all board information is confidential and is not to be used or discussed other than for appropriate medical center business. failure of a director to maintain the confidentiality of board information is grounds for removal. Form 990, Part VI, Section B, line 15 The board of directors serves as a compensation committee and reviews and adjusts the compensation of the President/CEO based on evaluations and comparable data. The human resources department either with the help of an outside compensation consultant or independently or both, gathers comparable data and provides information to the board of directors when it is requested. The CFO receives cost of living adjustments as approved through the budget Fulton County Medical Center process by the board of directors each year. The president/CEO, in collaboration with the HR department, reviews and adjusts the compensation of the CFO based on performance and comparability data. If needed, the HR department conducts a survey to gather comparability data and gives this information to the president/CEO when it is requested. This information is shared with the Board of directors for informational purposes. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy and finacial statement avaliable upon request. The documents are also avaliable at the annual meeting which is open to the general public. Form 990, Part IX, line 11g Professional Fees: Program service expenses 3,432,285. Management and general expenses 351,761. Fundraising expenses 0. Total expenses 3,784,046. Purchased Services: Program service expenses 5,348,561. Management and general expenses 1,699,541. Fundraising expenses 0. Total expenses 7,048,102. Other Fees: Program service expenses 0. Management and general expenses 801,830. Fundraising expenses 0. Total expenses 801,830. Form 990, Part XI, line 9: Pension Liability Adjustment 1,982,536. Valuation Gain 54,390. Net Periodic Pension Benefit Cost 219,443. Fulton County Medical Center Foudation 214 Peach Orchard Road Mcconnellsburg PA 17233 510674514 Fundraising PA 501(c)(3) Line 7 FCMC 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 Fulton County Medical Center Foundation C 732366 Cash Value Fulton County Medical Center Foundation B 385479 Cash Value